Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.91 / $4,880.68 / $4,880.68	Professional		$872.91	$4,880.68	$4,880.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.13 / $1,017.13 / $91,999.99	Facility		$1,017.13	$1,017.13	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.13 / $1,017.13 / $1,017.13	Professional		$1,017.13	$1,017.13	$1,017.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.61 / $1,480.15 / $2,242.98	Facility		$1,100.61	$1,480.15	$2,242.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $1,090.32 / $1,100.61	Professional		$380.38	$1,090.32	$1,100.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,100.61 / $1,480.15 / $2,242.98	Facility		$1,100.61	$1,480.15	$2,242.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $683.15 / $1,100.61	Professional		$683.15	$683.15	$1,100.61
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $802.33	Professional		$318.80	$336.98	$802.33